SEER Seeing Results

Miller Park Zoo, W. Scifres

About one in 4 Americans is registered in what is called the National Cancer Institute’s Surveillance, Epidemiology, and End Results study. As these Americans get cancer they get followed as to how they do. The study doesn’t formally group each patient, they get grouped according to how they were treated by their physicians. For instance, in a study published in the spring of 2010 in Obstetrics and Gynecology from the Columbia University College of Physicians and Surgeons they reported on 1400 women with the vary earliest forms of Cervical cancer, looking at both what they called Stage IA1 and IA2 cancers. Actually IA! Cancers, a cancer that is only 3 mm by 7 mm or less invasion past the surface’s basement membrane account for about 60 to 70% of all cervical cancers, so about 7000 cancers per year. So over the 9 years they gathered data for this study they probably looked at 1400/63,000 or as I estimate about 2% of all of those cancers that occurred. With this particular study they were able to look at women avoiding hysterectomy and preserving fertility, and they were able to look at the factors that would allow that surgery to be safe. A very potent and potentially could be a medical standard changing way to look at our treatments of women just by studying women registered in the SEER data base. So the GynoGab Gal’s recommendation is if you are asked, this is one volunteer job you need to say yes to!

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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